Individual
JULIE MARIE ZAETTA
Active
Individual
JULIE MARIE ZAETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
25399
AZ
2085R0202X
Diagnostic Radiology Physician
Primary
25399
AZ
2085R0204X
Vascular & Interventional Radiology Physician
25399
AZ
2085U0001X
Diagnostic Ultrasound Physician
25399
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005472
GROUP MEDICAID ID
AZ
01
—
1710958913
PHYSICIAN INDIVIDUAL NPI
AZ
01
—
1841261989
GROUP NPI
AZ
01
—
300121548
MEDICARE RAILROAD
AZ
05
—
387036
—
AZ
01
—
CS7943
GROUP MEDICARE RAILROAD ID & PTAN
AZ
01
—
ZWCBBM
GROUP MEDICARE ID
AZ
Enumeration date
01/27/2006
Last updated
02/27/2013
Update your record
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